Skigen, Andrew L

Skigen, Andrew L is an sole proprietor health care provider with primary practice located at 8708 Perimeter Park Blvd Suite 1, Jacksonville FL 32216-6354. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Skigen, Andrew L can be contacted via phone (904) 565-1505.

Contact Information

Primary practice address
8708 Perimeter Park Blvd Suite 1 Jacksonville FL 32216-6354
Fax: (904) 565-1506
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN14048 Florida

Profile Details

NPI number 1194702316
LBN Legal business name Skigen, Andrew L
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2005
Last updated Oct 19th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194702316 NPPES
Florida MEDICAID 075368800

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